Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD00023455 | WA |
NPI | 1003906967 |
---|---|
Provider Name | Brenda M Sandmaier |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 06/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0231809 | L&I (01) | WA |
1003906967 | (05) | WA |
7037 | INTERNAL ID-MOTOR VEHICLE ID (01) | |
E72395 | (02) |